NPI | 1669968558 |
---|---|
Former Name | MADELINE PEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2018020941) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2018-07-03 |
Last Update Date | 2019-08-27 |