NPI | 1457409534 |
---|---|
Former Name | JOANNE KATHLEEN MCINTYRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP5269) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP5269) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2014-12-04 |