| NPI | 1871541888 |
|---|---|
| Former Name | TARA CRAIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC SLP.4636 SLP) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#2069) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2010-04-21 |