NPI | 1043544612 |
---|---|
Former Name | ASHLEY SUSANNE HANNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 7719-C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 66494) |
104100000X Social Worker (Licence: TX 53378) | |
Enumeration Date | 2009-09-29 |
Last Update Date | 2018-03-17 |