| NPI | 1053866939 |
|---|---|
| Former Name | ASHLEY IDZAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO .0002977) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2025-02-03 |