NPI | 1891868063 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAUDETTE BRAVO President Speech Pathologist 773-551-0004 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146006271) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2020-08-22 |