| NPI | 1942984976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP14524) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ TSLP14524) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2024-06-11 |