| NPI | 1629398995 |
|---|---|
| Former Name | MARY GRACE PELLERIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13673) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6276) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2015-12-11 |