| NPI | 1699087965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY 1675) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9689) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2011-09-01 |