| NPI | 1730553702 |
|---|---|
| Former Name | AMBER JILL PRENTICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 15135) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009559) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2024-09-25 |