| NPI | 1154759199 |
|---|---|
| Former Name | KRYSTAL MAGALY MENCHACA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP5594) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-5392) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2023-08-08 |