| NPI | 1174649271 |
|---|---|
| Former Name | LESLIE LYNETTE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 104796) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 2397) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2024-02-26 |