| NPI | 1205196862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 000890-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 009979-1) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |