| NPI | 1639729510 |
|---|---|
| Former Name | SHELBY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S-3973) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS s3973) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2021-02-07 |