NPI | 1811221021 |
---|---|
Former Name | TRACY M JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 19092) |
Additional Taxonomies | 231H00000X Audiologist (Licence: TX 51510) |
Enumeration Date | 2009-09-22 |
Last Update Date | 2013-07-17 |