| NPI | 1013572478 |
|---|---|
| Former Name | STACY MARIE FRAZIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18417) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP09439) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2025-03-10 |