NPI | 1821652082 |
---|---|
Former Name | KARINA MOLINA LANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA11573) |
Enumeration Date | 2019-04-23 |
Last Update Date | 2019-04-23 |