NPI | 1457606212 |
---|---|
Former Name | CASEY JANE MAHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021891) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 010723) |
Enumeration Date | 2012-07-18 |
Last Update Date | 2015-04-17 |