| NPI | 1780273326 |
|---|---|
| Former Name | MADELINE M SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 5493) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2024-12-06 |