NPI | 1396895470 |
---|---|
Former Name | AMY LOUISE BAREKAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9180) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ3746) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2023-10-24 |