NPI | 1073912135 |
---|---|
Former Name | ASHLEY KAYLIN DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 025630-1) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2019-08-12 |