NPI | 1922121037 |
---|---|
Former Name | MELISSA WITTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 030508) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD LL) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2022-06-15 |