| NPI | 1912166646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2002002868) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2002002868) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-20 |