| NPI | 1730726605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP12196) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2022-06-28 |