NPI | 1033558937 |
---|---|
Former Name | JACLYN LEWANDOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022871-1) |
Enumeration Date | 2013-06-24 |
Last Update Date | 2015-09-16 |