| NPI | 1457703829 |
|---|---|
| Former Name | MARY THERESA ANNE JODZIEWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA SI 60667828) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-08-13 |