NPI | 1952772303 |
---|---|
Former Name | ALYSSA GALIZIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012435) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00817800) |
Enumeration Date | 2015-10-12 |
Last Update Date | 2017-02-06 |