NPI | 1497940381 |
---|---|
Former Name | DONNA NICHOLE PITTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7913) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2007-09-13 |
Last Update Date | 2011-06-03 |