| NPI | 1164703724 |
|---|---|
| Former Name | TRACY LANGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24449092) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103253) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2023-11-14 |