| NPI | 1669895967 |
|---|---|
| Former Name | AMANDA WETHINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19644) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI 2271) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2022-08-24 |