NPI | 1609160803 |
---|---|
Former Name | MELISSA W VITALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005277A) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 2355) |
Enumeration Date | 2011-06-06 |
Last Update Date | 2011-06-06 |