| NPI | 1891015855 |
|---|---|
| Former Name | LACEY J MONTIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6571) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105034) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2012-07-11 |