NPI | 1134566474 |
---|---|
Former Name | ASHLEY MAE COLDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MI L974111) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2013-05-28 |
Last Update Date | 2018-04-30 |