| NPI | 1154574713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 58 017481) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 57 002187) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2011-10-07 |