NPI | 1992882716 |
---|---|
Former Name | DEIRDRE MICHAEL-MECHELKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 5574-CCC/SLP) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-08 |