NPI | 1306063664 |
---|---|
Former Name | CARRIE AIMEE OUELLETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ME SP1326) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 5744) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2011-08-08 |