NPI | 1427390947 |
---|---|
Former Name | TONYA J CARNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 4088) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 108245) |
Enumeration Date | 2013-03-22 |
Last Update Date | 2014-02-03 |