| NPI | 1023189552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 001859-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 012413-1) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2010-02-11 |