| NPI | 1083880231 |
|---|---|
| Former Name | AMANDA M BETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.009936) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 46001817A) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2009-08-24 |