| NPI | 1770710923 |
|---|---|
| Former Name | ANDREA R PENSABENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 316659) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 016360) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2023-02-13 |