| NPI | 1770735805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AR A-107) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR sp680) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2013-09-10 |