| NPI | 1295201887 |
|---|---|
| Former Name | AMANDA MICHELLE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 19334) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 19334) |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: CA 19334) | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2024-12-16 |