NPI | 1801098116 |
---|---|
Former Name | DANIELLE MARIE RUIZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 16744) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE 4654) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2010-01-22 |