NPI | 1750707444 |
---|---|
Former Name | VANESSA CHRISTINE SPOTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010420) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60268385) |
Enumeration Date | 2014-03-05 |
Last Update Date | 2015-05-15 |