| NPI | 1821235227 |
|---|---|
| Former Name | KIMBERLY MUCKLEROY DI DONATO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 12119912) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2020-03-18 |