NPI | 1861834038 |
---|---|
Former Name | CAROLE JEAN SCHIRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA3888) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA3888) |
Enumeration Date | 2013-07-29 |
Last Update Date | 2014-09-03 |