| NPI | 1346494523 |
|---|---|
| Former Name | LISSETTE BELEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006443) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009210) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2015-03-17 |