NPI | 1316188923 |
---|---|
Former Name | AMY POWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 5432) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 3756) |
Enumeration Date | 2009-03-11 |
Last Update Date | 2018-10-04 |