NPI | 1528454477 |
---|---|
Former Name | ALYSSA TONKOVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007680) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 11726) |
Enumeration Date | 2015-04-07 |
Last Update Date | 2024-10-02 |