NPI | 1851633531 |
---|---|
Former Name | JAIMIE M BIFRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60597423) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.10747) |
Enumeration Date | 2013-03-20 |
Last Update Date | 2018-03-17 |