NPI | 1528655602 |
---|---|
Former Name | SARA HEINKING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IL 146014000) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2020-12-23 |
Last Update Date | 2025-07-09 |