NPI | 1023554698 |
---|---|
Former Name | DEANNA CAROL CARREIRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16009) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7932) |
Enumeration Date | 2017-01-06 |
Last Update Date | 2021-05-12 |