| NPI | 1619411550 |
|---|---|
| Professional Name | TRACI DANETTE BERRY-OWENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005402) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2021-03-01 |