NPI | 1407377880 |
---|---|
Former Name | JILLIAN LILE SHEEHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ME SP3922) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 113502) |
Enumeration Date | 2017-07-06 |
Last Update Date | 2023-10-03 |