| NPI | 1235812256 |
|---|---|
| Former Name | GINA CHAVARRIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20487) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2024-10-02 |