NPI | 1013292630 |
---|---|
Former Name | ASHLEY SHELTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6245) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-10-14 |
Last Update Date | 2024-08-01 |