| NPI | 1033717749 |
|---|---|
| Former Name | SULLIVAN LYN MCCALLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-2306) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011270) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2024-03-28 |