| NPI | 1457546780 |
|---|---|
| Former Name | TIA NICOLE HORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005784) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL SZ4309) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2009-08-11 |