| NPI | 1831478841 |
|---|---|
| Former Name | HEIDI DURHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 194636) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 17785) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2022-08-04 |