| NPI | 1225644149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242005871) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 242.005871) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2021-08-11 |