| NPI | 1639866858 |
|---|---|
| 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: NV SP-3481) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-26 |