| NPI | 1225593072 | 
|---|---|
| Former Name | LAURA PORTO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: GA SLP010241)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2019-02-06 | 
| Last Update Date | 2025-10-14 |