| NPI | 1306191713 |
|---|---|
| Former Name | AMY OLDHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 3099) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 014688-1) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2013-08-01 |