| NPI | 1891071312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2011025915) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011025915) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2012-02-17 |