| 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 |