NPI | 1114168200 |
---|---|
Professional Name | LEE MARIANO PAINTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL001509L) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001572) |
Enumeration Date | 2009-03-18 |
Last Update Date | 2021-07-30 |