NPI | 1578991998 |
---|---|
Former Name | MIA VICTORIA D'ERRICO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11070) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12132) |
Enumeration Date | 2013-10-22 |
Last Update Date | 2017-04-19 |