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 |