NPI | 1417385824 |
---|---|
Former Name | CLAIRE ELENA STANECKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13924) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007208) |
235Z00000X Speech-Language Pathologist, (Licence: TX 110865) | |
Enumeration Date | 2013-10-22 |
Last Update Date | 2016-11-29 |