NPI | 1386963353 |
---|---|
Former Name | ALYSSA NASRINE SHAFII |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10818) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2010-05-28 |
Last Update Date | 2014-05-17 |