| NPI | 1780178574 |
|---|---|
| Former Name | CARISSA N ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-316642) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2025-01-06 |