NPI | 1316017981 |
---|---|
Former Name | MARGARET J MCCOLLUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 19114) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SPA 1089) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2022-07-21 |