| NPI | 1669887212 |
|---|---|
| Former Name | RACHAEL ANGELINE MIERZWA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011980) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00798600) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2019-12-23 |