| NPI | 1548512106 |
|---|---|
| Former Name | ANNICK GENEVIEVE BYWALSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 235200000x) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |