| NPI | 1376751065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 003886) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2010-07-29 |