| NPI | 1780219055 |
|---|---|
| Former Name | TERRA RAE FIRTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3952) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 6853) |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2022-05-13 |