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 |