NPI | 1881229821 |
---|---|
Former Name | NICOLE YVETTE EBALO ROSALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NV SP-2502) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 21121) |
Enumeration Date | 2020-03-10 |
Last Update Date | 2020-03-10 |