NPI | 1003231333 |
---|---|
Former Name | CHELSEA HEASTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP- 1515) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP1515) |
Enumeration Date | 2014-02-24 |
Last Update Date | 2024-11-20 |