NPI | 1275051096 |
---|---|
Former Name | MOLLY SHEEHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 6676) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013933) |
Enumeration Date | 2017-08-31 |
Last Update Date | 2023-07-06 |