NPI | 1912255985 |
---|---|
Former Name | AMANDA LEIGH ORECHKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21096) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007011) |
Enumeration Date | 2012-08-24 |
Last Update Date | 2023-02-01 |