| NPI | 1861744831 |
|---|---|
| Former Name | DEBRA CAROL PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002762) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 12329) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2024-12-05 |