NPI | 1154999381 |
---|---|
Former Name | ASHLEY GRACE FRAUTNICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA13117) |
Enumeration Date | 2021-06-14 |
Last Update Date | 2021-06-14 |