| NPI | 1093444689 |
|---|---|
| Former Name | ELISE DELAWARE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0000956) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005428) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2024-03-04 |