NPI | 1073981601 |
---|---|
Former Name | PRINCESS MARIE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 34715) |
Enumeration Date | 2015-09-14 |
Last Update Date | 2015-09-14 |