NPI | 1619296167 |
---|---|
Former Name | MONA SOPHIE NORMA FENICHEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001240) |
Enumeration Date | 2010-05-24 |
Last Update Date | 2012-04-18 |