| NPI | 1033987524 |
|---|---|
| Former Name | HALEY NICOLE WISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 5308) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21234) |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22008821A) | |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2025-11-14 |