| NPI | 1780415273 |
|---|---|
| Former Name | JOHANA ALEJANDRA MERAZ GIBBONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204001462) |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |