NPI | 1396861563 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 004523-1) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 000198-1) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2007-07-08 |