NPI | 1659050250 |
---|---|
Former Name | ASHLEY KLINGENSMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61566860) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-07-12 |
Last Update Date | 2025-03-20 |