| NPI | 1124481130 |
|---|---|
| Former Name | HEATHER MANOREK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12359) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 7100) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2018-06-27 |