NPI | 1750545257 |
---|---|
Former Name | AMY ELISE MACHUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12852) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146009350) |
Enumeration Date | 2008-07-14 |
Last Update Date | 2022-02-15 |