NPI | 1043004492 |
---|---|
Former Name | RACHEL CHRISTINE CARLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 38732) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005543) |
Enumeration Date | 2025-04-08 |
Last Update Date | 2025-04-10 |