NPI | 1790303527 |
---|---|
Former Name | JENA ROSE ANAYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA12159) |
Enumeration Date | 2020-07-08 |
Last Update Date | 2020-07-08 |