NPI | 1497000111 |
---|---|
Former Name | DOMINIQUE M VANNELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 266782) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5441) |
Enumeration Date | 2012-07-18 |
Last Update Date | 2023-01-11 |