NPI | 1497982425 |
---|---|
Former Name | ASHLEY MARVIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1078) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8513) |
Enumeration Date | 2009-06-17 |
Last Update Date | 2013-05-02 |