NPI | 1750471884 |
---|---|
Former Name | ANNA BELLE MCGONAGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME ST1692) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6885) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2021-11-04 |