NPI | 1073989331 |
---|---|
Former Name | ASHLEE E CHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800931-SUPV) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1500529) |
Enumeration Date | 2015-08-20 |
Last Update Date | 2024-01-05 |