NPI | 1851725337 |
---|---|
Former Name | ASHLEY STEPHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101001352) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 11519057) |
Enumeration Date | 2013-09-03 |
Last Update Date | 2016-02-26 |