| NPI | 1558596080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 30851) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: ID AUD-2992) |
| 235Z00000X Speech-Language Pathologist, (Licence: UT 7360663-4102) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2018-02-27 |