NPI | 1043645385 |
---|---|
Former Name | CHRISTINA CATHERINE VAN MARION |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OK 4131) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 15629) |
Enumeration Date | 2013-09-05 |
Last Update Date | 2013-09-05 |