| NPI | 1578041539 |
|---|---|
| Former Name | MARIAH RICHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2018028143) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MO 2018028143) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2025-09-04 |