| NPI | 1023603834 |
|---|---|
| Former Name | AUDREY GRACE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 6201) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000006201) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2024-09-05 |