NPI | 1730463761 |
---|---|
Former Name | BRITTNEY MARSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0004328) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 5625) |
Enumeration Date | 2011-10-10 |
Last Update Date | 2021-06-22 |