| NPI | 1356767149 |
|---|---|
| Professional Name | M JANE FIRESTONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 012058) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: OR 12058) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2015-03-04 |