| NPI | 1053692863 |
|---|---|
| Other Name | LAURA MARIE WISEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008106) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV 1270) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2016-05-16 |