NPI | 1700418241 |
---|---|
Former Name | KAELA DELPERDANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 528939) |
Enumeration Date | 2020-02-12 |
Last Update Date | 2024-07-02 |