NPI | 1992322671 |
---|---|
Former Name | NICOLETTE ANGELINA HUGHES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015209) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19218) |
Enumeration Date | 2020-06-29 |
Last Update Date | 2021-10-16 |