NPI | 1851429799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL001896L) |
Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: PA NH005241L) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2007-07-08 |