NPI | 1184860504 |
---|---|
Former Name | AMANDA SUZANNE MILLENDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NM 4372) |
Enumeration Date | 2009-01-07 |
Last Update Date | 2023-11-14 |