| NPI | 1053732131 |
|---|---|
| Former Name | AMANDA PAIGE PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP5815) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: NM 4765) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2024-07-26 |