| NPI | 1811069990 |
|---|---|
| Former Name | BILLI JAE GRAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SD 954-SLP) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 123poo) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2022-03-04 |