| NPI | 1821203787 |
|---|---|
| Former Name | MAUREEN A BRADLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001367) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242000361) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2013-07-30 |