| NPI | 1669739900 |
|---|---|
| Former Name | AMANDA MARIE SALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11900) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009604) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5421) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2022-07-21 |