| NPI | 1205486073 |
|---|---|
| Former Name | ASHLEE MICKELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: OK SLPA292) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK RBT-18-65064) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2025-07-17 |