| NPI | 1376756551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 111248) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 111248) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-04-25 |