| NPI | 1962968750 |
|---|---|
| Former Name | LACI DEARDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 151648) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 12123658) |
| Enumeration Date | 2019-02-16 |
| Last Update Date | 2020-01-02 |