| NPI | 1376838284 |
|---|---|
| Former Name | GRACE JOSEFA JUSTINIANI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13739) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5427) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2025-01-06 |