| NPI | 1689864258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 30848) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 30848) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2020-08-31 |