| NPI | 1235544495 |
|---|---|
| Former Name | SHANLEY TABER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: KS 3790) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: KS 3041) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2021-08-25 |