| NPI | 1386173938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SOBOLEVSKY President 219-805-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002659) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |