NPI | 1487891172 |
---|---|
Former Name | ASHLEA D. OURS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8020) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005589) |
Enumeration Date | 2009-01-16 |
Last Update Date | 2021-06-07 |