NPI | 1134418163 |
---|---|
Former Name | ASHLEY MARIE CROWLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1152) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8702) |
Enumeration Date | 2011-03-30 |
Last Update Date | 2015-09-16 |