NPI | 1487161493 |
---|---|
Former Name | CAMILLE GERMAINE GARCHITORENA ENRIQUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP11181) |
Enumeration Date | 2017-12-29 |
Last Update Date | 2025-03-26 |