NPI | 1639657737 |
---|---|
Former Name | DENISE ROBLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP15668) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA11264) |
Enumeration Date | 2018-07-31 |
Last Update Date | 2024-09-25 |