| NPI | 1861936254 |
|---|---|
| Former Name | JEANETTE YAVALDAKIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00855600) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 028264) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2019-03-06 |