| NPI | 1235586801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 235Z00000X Speech-Language Pathologist, (Licence: AR 201333) | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2021-01-29 |