NPI | 1013449115 |
---|---|
Former Name | AMANDA KATE MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP013690) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003957) |
Enumeration Date | 2017-03-29 |
Last Update Date | 2025-08-04 |