NPI | 1194135467 |
---|---|
Former Name | CAROLINE KAY PINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 025013) |
Enumeration Date | 2014-05-07 |
Last Update Date | 2019-11-13 |