NPI | 1376857250 |
---|---|
Other Name | HOLLY AMAVISCA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 014040) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00510800) |
Enumeration Date | 2010-08-03 |
Last Update Date | 2024-04-03 |