NPI | 1194928465 |
---|---|
Former Name | TIFFANY CASSIA MARKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000772) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007376) |
Enumeration Date | 2007-06-06 |
Last Update Date | 2014-08-11 |