| NPI | 1598282006 |
|---|---|
| Former Name | EMMA DOMARACKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV 1771) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 08588) | |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2023-08-03 |