| NPI | 1194136648 |
|---|---|
| Former Name | CAROL IANNOTTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CT 003482) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SA 9522) |
| Enumeration Date | 2014-05-17 |
| Last Update Date | 2019-05-08 |