| NPI | 1336425677 |
|---|---|
| Former Name | TERA RENEA BISHOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2024-01-04 |