| NPI | 1770981771 |
|---|---|
| Former Name | MARY ELIZABETH SPENCER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP12908) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ #SLPA9187) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2021-04-12 |