| NPI | 1598313942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: IL 146.015482) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2024-08-21 |