| NPI | 1427217892 |
|---|---|
| Former Name | MAE ELISABETH CONDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 18330) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: VA 2202005487) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2010-09-02 |