NPI | 1649918780 |
---|---|
Former Name | LISA SENATORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001253) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010202) |
Enumeration Date | 2022-05-26 |
Last Update Date | 2022-05-26 |