| NPI | 1740658392 |
|---|---|
| Former Name | SYDNEY LILLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 5425) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS 54899) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2025-07-29 |