| NPI | 1083343214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 033241) |
| Additional Taxonomies | 225500000X Specialist/Technologist |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-06-04 |
| Last Update Date | 2025-08-21 |