| NPI | 1457787699 |
|---|---|
| Former Name | AMANDA KAYE LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2013029169) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2016-11-03 |