NPI | 1114255171 |
---|---|
Other Name | KASEY CARRASCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 12011697) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 225272) |
Enumeration Date | 2009-12-01 |
Last Update Date | 2024-01-25 |