| NPI | 1386202364 |
|---|---|
| Former Name | ALISON CHRISTINE WILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 12159401) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003131) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |