NPI | 1376782540 |
---|---|
Former Name | RUSLANA KHOSID AGARUNOV |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 116530) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 018758) |
Enumeration Date | 2009-02-11 |
Last Update Date | 2022-09-27 |