NPI | 1740580984 |
---|---|
Former Name | LAUREN ASHLEY WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8766) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2010-10-21 |
Last Update Date | 2021-09-30 |