NPI | 1447750260 |
---|---|
Former Name | SADIE VEGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17235) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8482) |
Enumeration Date | 2018-02-19 |
Last Update Date | 2021-09-15 |