| NPI | 1053869172 |
|---|---|
| Former Name | ASHLY MARIE BARTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 90895) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii055090418) |
| Enumeration Date | 2016-09-18 |
| Last Update Date | 2019-08-08 |