| NPI | 1134487564 |
|---|---|
| Other Name | MARCY VANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 19360) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP6767) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |