NPI | 1487844825 |
---|---|
Former Name | HEATHER LYNN O'BRIEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06845) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41ys00544400) |
Enumeration Date | 2007-08-01 |
Last Update Date | 2012-08-20 |