| NPI | 1598014466 | 
|---|---|
| Former Name | CHERIE MICHIKO TANABE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15588) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60321403) | 
| Enumeration Date | 2012-09-06 | 
| Last Update Date | 2018-03-17 |