NPI | 1164733127 |
---|---|
Former Name | HANNAH LEE TATE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 007318) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 004227) |
Enumeration Date | 2010-06-24 |
Last Update Date | 2020-08-03 |