| NPI | 1912634122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE SELIN Speech Language Pathologist 773-453-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-08-07 |
| Last Update Date | 2022-08-07 |