| NPI | 1396262705 |
|---|---|
| Former Name | AMY C WARREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017030809) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP10395) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |