| NPI | 1114200086 |
|---|---|
| Former Name | MEGAN SEVICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13275) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010441) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2019-10-28 |