NPI | 1790323145 |
---|---|
Former Name | ALYSSA TERSIGNI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14590) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20191265-SP) |
Enumeration Date | 2019-12-17 |
Last Update Date | 2022-08-26 |