NPI | 1235618851 |
---|---|
Former Name | ASHLEY L JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010415) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002654) |
Enumeration Date | 2018-08-14 |
Last Update Date | 2019-05-23 |