| NPI | 1871984195 |
|---|---|
| Former Name | TRACY COLE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10675) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006887) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |