NPI | 1164756474 |
---|---|
Former Name | ERYN K MAHONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2017) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME ST1938) |
Enumeration Date | 2009-09-21 |
Last Update Date | 2019-06-12 |