| NPI | 1295006781 |
|---|---|
| Former Name | ASHLEY NICKELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11474) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 3778) |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2021-10-28 |