| NPI | 1861139503 |
|---|---|
| Former Name | BAILEY MARIE MAZEZKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 11906) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI4139) |
| Enumeration Date | 2022-05-15 |
| Last Update Date | 2025-04-30 |