| NPI | 1598929622 |
|---|---|
| Former Name | LAUREN ASHLEY WICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA 8189) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8189) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2023-12-17 |