| NPI | 1558578872 |
|---|---|
| Former Name | LISA MCNAMARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP5639) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2007012831) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-09-23 |