| NPI | 1619010501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 985-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019475) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |