| NPI | 1497892053 |
|---|---|
| Former Name | TERESA A CRAIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 4524) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 100503) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2016-09-21 |