NPI | 1083813364 |
---|---|
Former Name | MINDI GAYLE PURCELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004221A) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146005952) |
Enumeration Date | 2007-07-16 |
Last Update Date | 2007-08-09 |