| NPI | 1790918647 |
|---|---|
| Professional Name | NICOLE A VANDYKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL S11425) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2021-09-02 |