| NPI | 1629507272 |
|---|---|
| Former Name | STEPHANIE ROSE SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP10564) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA10564) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2023-12-07 |