NPI | 1386056174 |
---|---|
Former Name | AMANDA CHRISTINE HAYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8181) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 5223) |
Enumeration Date | 2014-05-28 |
Last Update Date | 2024-12-15 |