| NPI | 1366719981 |
|---|---|
| Former Name | STACY L LITTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003614) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4898) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011130) | |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2023-12-02 |