| NPI | 1598141343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 1004) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 008868) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2016-01-15 |