| NPI | 1245469030 |
|---|---|
| Former Name | TAMARA JOANNE SCAGGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10652) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2017-08-10 |