NPI | 1457627648 |
---|---|
Former Name | ALYSSA SPINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021777-1) |
Enumeration Date | 2012-04-01 |
Last Update Date | 2016-10-21 |