| NPI | 1013388503 |
|---|---|
| Former Name | AMANDA LYNN RANOCCHIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 12130032) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007510) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |