NPI | 1083282230 |
---|---|
Former Name | ASHLEY RAIFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010452) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000704) |
Enumeration Date | 2021-06-15 |
Last Update Date | 2022-07-20 |