| NPI | 1831106210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WY A-936) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY S-189) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-01-30 |