NPI | 1881338812 |
---|---|
Former Name | ALEXA ROYA SARAVI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20191) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010378) |
Enumeration Date | 2022-04-26 |
Last Update Date | 2022-04-26 |