| NPI | 1033761234 |
|---|---|
| Former Name | ASHLEY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149020767) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.020767) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2025-10-30 |