| NPI | 1710236286 |
|---|---|
| Former Name | NICOLE RENEE PERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002364) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 12083199-4102) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2021-05-14 |