| NPI | 1134774631 |
|---|---|
| Former Name | JOSEPHINE TREJO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 41149) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |