| NPI | 1407194988 |
|---|---|
| Former Name | AMANDA BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10497) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 13052023) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2024-02-27 |