NPI | 1659138048 |
---|---|
Former Name | REGINA S LOWENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 4338) |
Enumeration Date | 2024-03-01 |
Last Update Date | 2024-09-30 |