| NPI | 1235381427 |
|---|---|
| Former Name | AMY L. B. MICKLICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2051) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00578) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2024-07-11 |