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 |