| NPI | 1871275727 |
|---|---|
| Former Name | SANDRA PATRICIA TELLEZ MATEUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 34273) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-14 |