| NPI | 1952086225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 034078) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL S300-4009-6667) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2024-11-21 |