| NPI | 1134426307 | 
|---|---|
| Former Name | TRACY GARNER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 005599) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000462) | 
| Enumeration Date | 2011-02-23 | 
| Last Update Date | 2013-10-02 |