NPI | 1124411145 |
---|---|
Former Name | HEATHER ELIZABETH YANNI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006715) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 18204) |
Enumeration Date | 2015-03-16 |
Last Update Date | 2015-03-16 |