| NPI | 1033469127 |
|---|---|
| Former Name | TESSA MARIE DEATON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2014007935) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#P8581) |
| Enumeration Date | 2012-09-15 |
| Last Update Date | 2021-06-02 |