| NPI | 1346571155 |
|---|---|
| Other Name | MILDRED SUSIE MCILWAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11004) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA11004) |
| 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7100) | |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2020-11-30 |