| NPI | 1932262425 |
|---|---|
| Former Name | LISA M PARDUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3446) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005773) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2014-05-14 |