NPI | 1508275793 |
---|---|
Former Name | ASHLEY A LANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3667) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109484) |
Enumeration Date | 2014-08-12 |
Last Update Date | 2023-01-18 |