NPI | 1578998365 |
---|---|
Former Name | CAROL ANNE SHAPIRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009388) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 21180) |
Enumeration Date | 2013-09-11 |
Last Update Date | 2022-01-24 |