| NPI | 1689677734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 50259) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 10287) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2022-05-16 |