NPI | 1780001214 |
---|---|
Former Name | AMANDA MARIE HALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SL) |
Enumeration Date | 2014-03-21 |
Last Update Date | 2014-03-21 |