| NPI | 1518142082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 9717) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7767) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2012-01-26 |