NPI | 1689830416 |
---|---|
Former Name | LA-TANYA PATRICE ROWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008466) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9373) |
Enumeration Date | 2008-07-31 |
Last Update Date | 2018-04-29 |