NPI | 1275287161 |
---|---|
Former Name | VALERIYA FEDOROVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 33042) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 15434) |
Enumeration Date | 2022-02-09 |
Last Update Date | 2024-01-24 |