| NPI | 1467456111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 50734) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 14561) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 90573) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2010-02-17 |