NPI | 1700516937 |
---|---|
Former Name | HEATHER MARIE BENCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 13235336-4102) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-2125) |
Enumeration Date | 2022-06-11 |
Last Update Date | 2025-10-09 |