| NPI | 1992957187 |
|---|---|
| Former Name | TAVIA FOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08947) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006900) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2023-10-13 |