| NPI | 1942645437 |
|---|---|
| Former Name | TERESA JOAN CARELOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: AZ SLPA7686) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2014-10-16 |