| NPI | 1750693990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 015507-1) |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2014-12-11 |