| NPI | 1063843365 |
|---|---|
| Former Name | MARTHA T MONTALVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025322-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 025322) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2021-01-24 |