NPI | 1912399031 |
---|---|
Former Name | BLANCA FLOR MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2015042965) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2015-02-26 |
Last Update Date | 2022-07-21 |