| NPI | 1013305549 |
|---|---|
| Former Name | ANNA-ALYSE TELLEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8984) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSA8984) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-08-30 |