| NPI | 1033701461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI4703) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2025-12-11 |