| NPI | 1568089316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 18.006501) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 18.006219-TEMP) |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2021-03-14 |