NPI | 1922445543 |
---|---|
Former Name | BELEN LOPEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: LA 7612) |
Additional Taxonomies | 103K00000X Behavior Analyst |
235Z00000X Speech-Language Pathologist (Licence: NM C-5523) | |
235Z00000X Speech-Language Pathologist (Licence: LA 7622) | |
Enumeration Date | 2013-05-23 |
Last Update Date | 2023-05-03 |