NPI | 1689967770 |
---|---|
Former Name | TONIA LATESTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SZ5165) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA11573) |
Enumeration Date | 2011-05-23 |
Last Update Date | 2014-03-28 |