| NPI | 1770753980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S1096) |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: MS S1096) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |