| NPI | 1245514280 |
|---|---|
| Former Name | AMANDA CLAXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 4121) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011009758) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2022-07-21 |