| NPI | 1962029496 |
|---|---|
| Other Name | GLORIA SORAYA JERROLDINE POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5950) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP29990) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 116587) | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |