NPI | 1730423864 |
---|---|
Former Name | AMY THANH NGUYEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 025372) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 21197) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2016-04-06 |