NPI | 1053869172 |
---|---|
Former Name | ASHLY MARIE BARTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 123003) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA AII055090418) |
Enumeration Date | 2016-09-18 |
Last Update Date | 2025-07-18 |