NPI | 1063965572 |
---|---|
Former Name | MELANIE TRISCUIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 8883) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
235Z00000X Speech-Language Pathologist, (Licence: OR 15726) | |
Enumeration Date | 2016-08-01 |
Last Update Date | 2022-01-31 |