| NPI | 1356411730 |
|---|---|
| Former Name | AMY SOUTHERLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8838) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA 005163) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |