NPI | 1528754017 |
---|---|
Other Name | MARY TESSA MCINTOSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 285805) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 278041) |
Enumeration Date | 2023-04-17 |
Last Update Date | 2024-10-28 |