| NPI | 1093239212 |
|---|---|
| Former Name | ASHLEY JANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7244-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 7840) |
| Enumeration Date | 2017-07-30 |
| Last Update Date | 2021-02-25 |