| NPI | 1336627348 |
|---|---|
| Former Name | NICHOLE MARIE CARRASQUILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.014363) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2020-09-10 |