| NPI | 1780817346 |
|---|---|
| Former Name | HALLIE CAROLINE MCCULLOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP 0001686) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2014-02-18 |