| NPI | 1881715985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AZ DA1552) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLPL4984) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-02-12 |