| NPI | 1548380918 |
|---|---|
| Former Name | SERENA M VALDIVIESO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3582) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA slp006461) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2019-07-15 |