NPI | 1053787317 |
---|---|
Former Name | NICOLE MOLUMBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016012518) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 4519) |
235Z00000X Speech-Language Pathologist, (Licence: CA 25988) | |
235Z00000X Speech-Language Pathologist, (Licence: KS 4135) | |
Enumeration Date | 2015-08-20 |
Last Update Date | 2018-07-12 |