| NPI | 1487165692 |
|---|---|
| Professional Name | LISAMARIE CHRISTY WYNNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 25060) |
| Enumeration Date | 2017-10-14 |
| Last Update Date | 2017-10-14 |