NPI | 1598998163 |
---|---|
Former Name | MARGARET (PEGGY) JOSEPHINE MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6146) |
Enumeration Date | 2009-08-31 |
Last Update Date | 2009-08-31 |