| NPI | 1558796383 |
|---|---|
| Former Name | ALYSSA ROSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13109) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 6328) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2018-05-31 |