| NPI | 1285813865 |
|---|---|
| Former Name | HEIDI J BUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 9959) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 5199) |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2018-02-21 |