| NPI | 1336402379 |
|---|---|
| Former Name | LAUREN AGUILLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA21774) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA22644) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2024-08-12 |