| NPI | 1922245521 |
|---|---|
| Former Name | JANE ELIZABETH LYSKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2007001488) |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2009-01-19 |