| NPI | 1073821732 |
|---|---|
| Former Name | YULIANA AVSHALUMOV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021049-01) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2018-12-06 |