| NPI | 1922123579 |
|---|---|
| Former Name | HEATHER J. SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL007364) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ YS003697) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |