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 |