| NPI | 1972051951 |
|---|---|
| Former Name | LOGAN TINGLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010017) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6125) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2019-02-22 |