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 |