| NPI | 1235300732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 002126) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017708) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-09-18 |