| NPI | 1861618282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: PR 565) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PR 837) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2009-03-17 |