| NPI | 1366830424 |
|---|---|
| Former Name | MARY KEEFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.012531) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2014015181) |
| Enumeration Date | 2014-12-24 |
| Last Update Date | 2015-09-22 |