NPI | 1699066878 |
---|---|
Former Name | TASHA ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLPL8134) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA7195) |
Enumeration Date | 2011-04-22 |
Last Update Date | 2013-01-30 |