NPI | 1255608477 |
---|---|
Former Name | ASHLEY DAVIS TUCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 3806) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 3217) |
Enumeration Date | 2011-11-17 |
Last Update Date | 2016-05-13 |