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 |