NPI | 1740521087 |
---|---|
Former Name | AMANDA LEE CASEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1971) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1971 Provisional) |
Enumeration Date | 2013-03-12 |
Last Update Date | 2024-04-01 |