| NPI | 1942979802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20866) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE16208) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2022-11-09 |