NPI | 1740501402 |
---|---|
Former Name | AMANDA M VARGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 136632) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0000648) |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2010-06-17 |
Last Update Date | 2024-02-05 |