| NPI | 1508390964 |
|---|---|
| Former Name | RENEE ROUSSEAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 0768) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 5223) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |