| NPI | 1124497094 |
|---|---|
| Former Name | TANA STANSBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 2383) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2022-02-24 |