NPI | 1386897353 |
---|---|
Other Name | ROSANNE THERESA MIKULKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14917) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 005253) |
Enumeration Date | 2008-11-03 |
Last Update Date | 2016-12-15 |