NPI | 1366965543 |
---|---|
Former Name | AMANDA MARIE CONCIATORI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 028009) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2017-07-19 |
Last Update Date | 2020-05-04 |