NPI | 1689828907 |
---|---|
Former Name | MARLA MAURICE-AMBROSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ID SLP-1940) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: ID TSLP-1771) |
Enumeration Date | 2008-11-13 |
Last Update Date | 2011-06-01 |