| NPI | 1275834772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.008893) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: IL 146.008893) |
| 314000000X Skilled Nursing Facility (Licence: IL 146.008893) | |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |