NPI | 1790091726 |
---|---|
Former Name | BRIGITTE CORINNE BORCUTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.015124) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 2363) |
Enumeration Date | 2010-08-27 |
Last Update Date | 2019-12-27 |