| NPI | 1730899832 |
|---|---|
| Former Name | AMANDA POOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 6961) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OH 13433) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2024-04-24 |