NPI | 1063897122 |
---|---|
Former Name | ALLIEJANE BOAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA9498) |
Enumeration Date | 2015-07-29 |
Last Update Date | 2018-12-19 |