| NPI | 1225376650 |
|---|---|
| Former Name | MACY SCHULTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SD 757-SLP) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: IA 002301) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2022-08-17 |