NPI | 1861947616 |
---|---|
Former Name | MARRIETA ORSBUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 154109) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 3169) |
Enumeration Date | 2016-08-22 |
Last Update Date | 2020-01-23 |