| NPI | 1972760668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SC 177) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 176) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |