| NPI | 1720262819 |
|---|---|
| Former Name | ALICIA M GREENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60297466) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7051) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2018-07-02 |