| NPI | 1518486778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77196) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 028221) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2020-04-08 |