NPI | 1144359951 |
---|---|
Former Name | ANNA MARIE TAGGERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SLP 13526) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-16-21451) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2021-02-13 |