NPI | 1104006501 |
---|---|
Former Name | ASHLEY L. KEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4484) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 5939) |
Enumeration Date | 2007-11-14 |
Last Update Date | 2018-05-11 |