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 |