NPI | 1811124696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MA 486) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 3388) |
Enumeration Date | 2009-06-18 |
Last Update Date | 2018-06-23 |