| NPI | 1861510802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP 0000002750) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TN A 0000001052) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2019-06-12 |