NPI | 1487963682 |
---|---|
Former Name | LYDIA A. AVALLONE-HARTMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 003114-1) |
Enumeration Date | 2010-10-05 |
Last Update Date | 2021-06-25 |