| NPI | 1770928111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MD 01396) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08344) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2019-01-09 |