| NPI | 1194457028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TN 7921) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: VA 2202010826) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2023-05-18 |