| NPI | 1104471663 |
|---|---|
| Former Name | MA PATRICIA YSABEL SACRO LIBAO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 26229) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |