NPI | 1457034837 |
---|---|
Former Name | IRRAH MARIE BUGHAO TARIMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004873) |
Enumeration Date | 2023-08-10 |
Last Update Date | 2023-08-10 |