NPI | 1891818555 |
---|---|
Former Name | ANGELA GAIL TATE-WASHINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006491) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP 5334) |
235Z00000X Speech-Language Pathologist, (Licence: GA 006491) | |
Enumeration Date | 2007-04-09 |
Last Update Date | 2016-06-17 |