NPI | 1962744052 |
---|---|
Former Name | CORINA JULISSA AGUILAR TORRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022223-1) |
Enumeration Date | 2013-03-26 |
Last Update Date | 2013-03-26 |