NPI | 1619327962 |
---|---|
Former Name | MARGO ALAYNA PEARCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP6510) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 38757) |
Enumeration Date | 2016-06-17 |
Last Update Date | 2024-04-10 |