| NPI | 1093960833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 010958-1) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 001321-1) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2017-01-06 |