| NPI | 1871079608 |
|---|---|
| Former Name | HEATHER WILTSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 8479) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101004751) |
| Enumeration Date | 2018-07-15 |
| Last Update Date | 2026-03-12 |