NPI | 1649553512 |
---|---|
Former Name | AMY MANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP0000004965) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET001709) |
Enumeration Date | 2011-09-27 |
Last Update Date | 2014-03-27 |