| NPI | 1861607202 |
|---|---|
| Former Name | AMANDA PADGETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61209260) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00011484) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2021-08-18 |