NPI | 1972102754 |
---|---|
Former Name | LEIGHANNE MAHONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24424316) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2020-10-22 |
Last Update Date | 2024-04-03 |