NPI | 1104108604 |
---|---|
Former Name | ASHLEE NIKOLE FRALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1461) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 4396142316) |
Enumeration Date | 2011-09-12 |
Last Update Date | 2022-07-21 |