NPI | 1194273557 |
---|---|
Former Name | MELANIE SUZANNE GRABER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP100470) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-3241) |
235Z00000X Speech-Language Pathologist, (Licence: ID TSLP-3004) | |
Enumeration Date | 2016-09-14 |
Last Update Date | 2024-03-11 |