| NPI | 1164961983 |
|---|---|
| Former Name | ASHLIE DANIELLE MENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114377) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-6123) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2018-06-18 |