| NPI | 1225482631 |
|---|---|
| Former Name | LAURA L CHILCOAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 76994) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2022-06-29 |