NPI | 1164513792 |
---|---|
Former Name | TAMARA MAUREEN JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05444) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 7993) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2018-12-13 |