NPI | 1023460995 |
---|---|
Former Name | AMANDA HILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 105406) |
Additional Taxonomies | 174400000X Specialist (Licence: TX 760199836) |
Enumeration Date | 2016-07-05 |
Last Update Date | 2016-07-05 |