NPI | 1376066035 |
---|---|
Former Name | MONIQUE ALYSSA BRONOWICKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013870) |
Enumeration Date | 2017-07-24 |
Last Update Date | 2022-05-09 |