NPI | 1164595211 |
---|---|
Former Name | MELISSA P SHUSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009156) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: PA OC006915L) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2022-10-25 |