NPI | 1285893024 |
---|---|
Former Name | AMANDA MARESJO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WA LL60343656) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NV SP-1198) |
Enumeration Date | 2008-06-06 |
Last Update Date | 2016-12-20 |