| NPI | 1477952885 |
|---|---|
| Former Name | MARIE MOELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016024380) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007529) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2016-12-09 |