NPI | 1306871819 |
---|---|
Former Name | CYNTHIA LYNN GUTIERREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP10919) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146006750) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2020-02-03 |