| NPI | 1205335452 |
|---|---|
| Former Name | CHANTAL FUENTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10372) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001408) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2023-08-25 |