| NPI | 1316478902 |
|---|---|
| Former Name | SUZANNE MAESTAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0000561) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 12071856) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |