| NPI | 1043582182 |
|---|---|
| Former Name | ASHLEY M TRAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM 0174371) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM T-0146671) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2017-04-28 |