| NPI | 1316482011 |
|---|---|
| Former Name | MARY JO COLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 111659) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2018-02-27 |