| NPI | 1306098660 |
|---|---|
| Former Name | BROOKE ELIZABETH CARROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-008493) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8885) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2012-07-09 |