| NPI | 1689793960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 02806) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MD 02806) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |