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 |