| 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 |