| NPI | 1629337464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 0001811) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 001811) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |