| NPI | 1831491174 |
|---|---|
| Former Name | MARY LOUISE HETHERINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 112855-4102) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |