NPI | 1033425111 |
---|---|
Former Name | MARY L DUNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06234) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2005002885) |
Enumeration Date | 2010-08-26 |
Last Update Date | 2014-04-22 |