| NPI | 1710463864 |
|---|---|
| Former Name | LENA GRACE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 05947) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.014931) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2024-08-27 |