| NPI | 1700245156 |
|---|---|
| Former Name | GLADYS FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA9780) |
| Enumeration Date | 2016-02-14 |
| Last Update Date | 2016-02-14 |