NPI | 1558819490 |
---|---|
Former Name | MARY ELIZABETH ASHLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP10982) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2016-09-20 |
Last Update Date | 2016-09-20 |