NPI | 1891073789 |
---|---|
Former Name | MARCIA LEE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006188) |
235Z00000X Speech-Language Pathologist, (Licence: KY 3916) | |
235Z00000X Speech-Language Pathologist, (Licence: TX 105909) | |
Enumeration Date | 2011-07-27 |
Last Update Date | 2011-11-18 |