NPI | 1013520642 |
---|---|
Former Name | TATIANA LOZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 37147) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 6093) |
Enumeration Date | 2020-08-24 |
Last Update Date | 2024-09-23 |