| NPI | 1184962706 |
|---|---|
| Former Name | MARISSA BRIANNA COFFERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9394) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6115) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2014-11-17 |