| NPI | 1154939395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20231) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL SZ9575) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2022-05-25 |