| NPI | 1306276357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: FL SA 10675) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 10675) |
| 283X00000X Rehabilitation Hospital (Licence: FL SA 10675) | |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |