| NPI | 1780915629 |
|---|---|
| Former Name | JILL SERVELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11212) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP13665) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2016-07-14 |