NPI | 1053548834 |
---|---|
Former Name | AMANDA ELIZABETH HATFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007360) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET001437) |
Enumeration Date | 2009-06-18 |
Last Update Date | 2024-05-02 |