| NPI | 1962683367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AZ TAUD5402) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP4532) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |