| NPI | 1831245315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 2443) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 2613) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-08-03 |