| NPI | 1861671398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 10637) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10637) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2014-09-16 |