| NPI | 1902428253 |
|---|---|
| Former Name | MARISSA ZOLLNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015730) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-05-09 |
| Last Update Date | 2021-06-29 |