| NPI | 1639302466 |
|---|---|
| Former Name | CARLYNN MICHELE ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005972) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 12034507) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2024-06-24 |