| NPI | 1932673316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 6143) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 29957) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2022-06-10 |