| NPI | 1023463296 |
|---|---|
| Former Name | ASHLEY NICOLE PAUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2021-05-24 |