| NPI | 1780419101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2025035725) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.018209) |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 242.008044) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2025-09-18 |