NPI | 1982174546 |
---|---|
Former Name | JESSICA HILLIKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009451) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000186) |
Enumeration Date | 2018-11-27 |
Last Update Date | 2022-06-09 |