| NPI | 1720303233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: AR 282N00000X) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#2627) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2013-08-20 |