| NPI | 1194060632 |
|---|---|
| Former Name | RENEE L SPRAGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8368) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 5879) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2015-10-02 |