| NPI | 1740401355 |
|---|---|
| Former Name | LESA PERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 101813) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000003483) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA-3964) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |