NPI | 1245478163 |
---|---|
Former Name | NICOLE VICTORIA CLEMENTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 6409) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 33175) |
235Z00000X Speech-Language Pathologist, (Licence: AZ 5831) | |
235Z00000X Speech-Language Pathologist, (Licence: CA 13227) | |
Enumeration Date | 2009-01-30 |
Last Update Date | 2024-08-29 |