| NPI | 1548805906 |
|---|---|
| Former Legal Business Name | MONICA LASALLE |
| Entity Type | Organization |
| Authorized Contact | MONICA LASALLE Presidet 215-694-0689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |