| NPI | 1013750835 |
|---|---|
| Former Name | ASHLEY RENAE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701012618) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0709024488) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |