NPI | 1790093334 |
---|---|
Former Name | NICOLE MARIE TEMINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12020) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI 1680) |
235Z00000X Speech-Language Pathologist, (Licence: FL SZ5716) | |
Enumeration Date | 2010-09-16 |
Last Update Date | 2013-01-22 |