| NPI | 1679695076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 000726-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017788-1) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2019-10-22 |