| NPI | 1619031093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00044500) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 000851-1) |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: NY 14000006177) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: NJ MG00753) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2019-04-03 |