| NPI | 1154062065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 033223) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 2278H0200X Respiratory Therapist, Certified, Home Health | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-07-10 |