NPI | 1407109234 |
---|---|
Former Name | AMANDA NAUMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 1533) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011568) |
Enumeration Date | 2012-10-17 |
Last Update Date | 2014-07-22 |