| NPI | 1326114646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 00-1313) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 00-1312) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |