| 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 |