| NPI | 1376970749 |
|---|---|
| Former Name | WENDY PORTILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000786) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC OSSE license) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2024-08-27 |