| NPI | 1861045536 |
|---|---|
| Former Name | DENELEE FAITH LAGASSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 7967) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 2137) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |