| NPI | 1558642579 |
|---|---|
| Former Name | COLLEEN MARY IRELAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007907) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07811) |
| 235Z00000X Speech-Language Pathologist, (Licence: DC 000914) | |
| Enumeration Date | 2011-09-03 |
| Last Update Date | 2023-02-24 |