NPI | 1801199740 |
---|---|
Former Name | ALEXIS J VALLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7845) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 020361-1) |
Enumeration Date | 2010-12-15 |
Last Update Date | 2024-12-16 |