NPI | 1952630535 |
---|---|
Former Name | VICTORIA ANN SUCATO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60303437) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLPL6386) |
Enumeration Date | 2009-12-10 |
Last Update Date | 2016-08-27 |