| NPI | 1518292341 |
|---|---|
| Former Name | ELIZABETH AMANDA FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21060) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT 1196sp) |
| 235Z00000X Speech-Language Pathologist, (Licence: MT SLP1196) | |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2023-05-05 |