| NPI | 1669705273 |
|---|---|
| Former Name | TESSA DAWN SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002890) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2008032038) |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 2490) | |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2019-04-20 |