NPI | 1649625609 |
---|---|
Former Name | RENEE ALANE O'NEILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 247200000X Technician, Other |
Enumeration Date | 2016-04-27 |
Last Update Date | 2019-12-30 |