| NPI | 1285902304 |
|---|---|
| Former Name | AMY NICOLE ANGULO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 13873) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13873) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2034) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6877) | |
| Enumeration Date | 2011-12-03 |
| Last Update Date | 2020-06-23 |