| NPI | 1720846462 |
|---|---|
| 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: FL SZ11926) |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-06-05 |