NPI | 1306182811 |
---|---|
Former Name | STEPHANIE MICHELE HOLGUIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP5443) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-5246) |
Enumeration Date | 2013-01-02 |
Last Update Date | 2023-06-08 |