| NPI | 1659985380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 035249) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.016053) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2025-04-02 |