| NPI | 1396436911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SZ11348) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: FL SI5091) | |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-06-22 |