NPI | 1104396936 |
---|---|
Former Name | DARBY JOHANNA HERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA SPA2008) |
Enumeration Date | 2018-12-05 |
Last Update Date | 2018-12-05 |