| 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 | 2025-09-11 |