NPI | 1255312153 |
---|---|
Former Name | MARY VELVET NORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000000817) |
Additional Taxonomies | 231H00000X Audiologist (Licence: TN 0000001938) |
Enumeration Date | 2005-11-08 |
Last Update Date | 2016-11-16 |