| NPI | 1073947644 |
|---|---|
| Former Name | MARIA PRISCILA GONZALES PONCIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021761) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2018-02-28 |