NPI | 1922315316 |
---|---|
Former Name | KAREN MARIE NUCCIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TN 0000003496) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 6659) |
Enumeration Date | 2010-09-07 |
Last Update Date | 2022-05-23 |