NPI | 1760562672 |
---|---|
Former Name | AMY BEGLEY BREWINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004745) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP13286) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2016-02-12 |