| NPI | 1578047759 |
|---|---|
| Former Name | ANNA PORTILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 37616) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2022-11-08 |