| NPI | 1407216120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: UT 12280407-4101) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2021-06-10 |