| NPI | 1558996181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MO 01978) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |