| NPI | 1407128390 |
|---|---|
| Former Name | MARIA IMELDA TERRIQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 18455) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 14513) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 18387) | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2014-06-02 |