NPI | 1568147429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 3002774) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2023-06-19 |
Last Update Date | 2024-10-01 |