| NPI | 1811449366 |
|---|---|
| Former Name | CASSANDRA PATRICE TEEGARDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ slp7856) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |