NPI | 1881043388 |
---|---|
Former Name | LAUREN ASHLEY MERRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16052) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA16052) |
Enumeration Date | 2016-06-07 |
Last Update Date | 2021-11-29 |