NPI | 1144521352 |
---|---|
Former Name | CELESTE P PELLETIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 019747) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019747-1) |
Enumeration Date | 2010-11-04 |
Last Update Date | 2011-05-16 |