NPI | 1609110972 |
---|---|
Former Name | JAIME LEE TESTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8839) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1454) |
Enumeration Date | 2012-11-26 |
Last Update Date | 2021-05-04 |