NPI | 1861050411 |
---|---|
Former Name | ALYSSA CATHERINE REILLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP101726) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00445-P) |
Enumeration Date | 2019-05-30 |
Last Update Date | 2025-08-13 |