NPI | 1669986980 |
---|---|
Former Name | CORINNA MARIE SACCHETTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 028415) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-11-22 |
Last Update Date | 2020-07-07 |