NPI | 1295907038 |
---|---|
Former Name | CYNTHIA HAWARD DEMAREST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2109) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 631) |
Enumeration Date | 2008-04-01 |
Last Update Date | 2012-01-13 |