NPI | 1093369142 |
---|---|
Former Name | ASHLEY NICOLE BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015211) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-07-27 |
Last Update Date | 2023-09-11 |