| NPI | 1851826200 |
|---|---|
| Other Name | MARISSA TRACY LEDERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 14317721) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2019-07-09 |