| NPI | 1669172680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL SZ11136) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11136) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |