NPI | 1528346582 |
---|---|
Former Name | COLLEEN O'TOOLE CASSELTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202006314) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2011-07-25 |
Last Update Date | 2018-06-20 |