| NPI | 1164180378 |
|---|---|
| Professional Name | EMMA PROVENZANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15389) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 78102) | |
| Enumeration Date | 2021-12-05 |
| Last Update Date | 2022-05-25 |