| NPI | 1073862025 |
|---|---|
| Former Name | EMILY MOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP7889) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP7889) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2015-03-16 |