NPI | 1336847193 |
---|---|
Former Name | MEGAN ROQUE MENSALVAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 32033) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22008372A) |
Enumeration Date | 2023-02-21 |
Last Update Date | 2023-02-24 |