NPI | 1063817138 |
---|---|
Former Name | ASHLEY REDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024194) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2014-10-30 |
Last Update Date | 2023-07-27 |