| NPI | 1851496418 |
|---|---|
| Former Name | MELISSA LANGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 070.012466) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146008209) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-07-21 |