NPI | 1063023414 |
---|---|
Former Name | MICHAELA JOAN HESSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 7627) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 5038-154) |
Enumeration Date | 2020-08-10 |
Last Update Date | 2024-01-05 |