NPI | 1053667089 |
---|---|
Former Name | MADELEINE HAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12104) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET001789) |
Enumeration Date | 2012-07-27 |
Last Update Date | 2017-06-15 |