| NPI | 1912463688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242006643) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02422L) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2022-02-14 |