| NPI | 1184721334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 000769-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 006404-1) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-04-09 |