NPI | 1811314875 |
---|---|
Former Name | MARICEL VAZQUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14643) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SA14643) |
Enumeration Date | 2014-03-27 |
Last Update Date | 2025-08-05 |