| NPI | 1063053494 |
|---|---|
| Former Name | ASHLEY YUNGWIRTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9378-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 129618-121) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2024-05-23 |