| NPI | 1851077697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-12614) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-LTD-LIC-302) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-10-01 |