NPI | 1386078707 |
---|---|
Former Name | DANIELLE ASHLEY OWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15419) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109321) |
Enumeration Date | 2013-08-22 |
Last Update Date | 2020-08-26 |