| NPI | 1154776599 |
|---|---|
| Former Name | MARIAH CARMEN HOWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60712301) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA SI 60597418) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-11-28 |