NPI | 1275014375 |
---|---|
Former Name | MARY FRANCINE DAVIDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013680) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006647A) |
Enumeration Date | 2018-08-27 |
Last Update Date | 2023-09-15 |