| NPI | 1225295918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008494) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 2889) |
| 314000000X Skilled Nursing Facility (Licence: NC 2889) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2021-06-25 |