NPI | 1689129959 |
---|---|
Former Name | DELANEY MARIE MABRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 23456) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 104387) |
235Z00000X Speech-Language Pathologist (Licence: OR 015671) | |
Enumeration Date | 2016-08-16 |
Last Update Date | 2016-08-16 |