| NPI | 1821661604 |
|---|---|
| Former Name | TARYN RAEANN GRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 201596) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2960) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA19840) | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2023-08-02 |