| NPI | 1467175067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 22028) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL SZ11006) |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2023-10-06 |