| NPI | 1083293526 |
|---|---|
| Former Name | ASHLEY ELIZABETH AUGUSTINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 38401) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: TX 38401) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2022-09-02 |