NPI | 1225512486 |
---|---|
Former Name | ALICIA MICHELLE CAREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 18770) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 04631) |
Enumeration Date | 2018-09-24 |
Last Update Date | 2021-07-27 |