NPI | 1629556758 |
---|---|
Former Name | MAYA NICOLETTE EDINBURGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7530) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 27216) |
Enumeration Date | 2018-07-31 |
Last Update Date | 2022-12-16 |