| NPI | 1467747758 |
|---|---|
| Former Name | MARTHA DIANE BATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AL 5260) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MS S4265) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2023-11-07 |