| NPI | 1730102542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: UT 5564679-4101) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: UT 55646794101) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-06-28 |