| NPI | 1447717848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06273) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |