| NPI | 1740420017 |
|---|---|
| Former Name | MARY ROSE GRIFFIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108696) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146009317) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2014-06-06 |