| NPI | 1891352787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 006835) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 029962) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-26 |
| Last Update Date | 2022-10-25 |