| NPI | 1104174473 |
|---|---|
| Former Name | ASHLEY MALCHOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY10343) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA psy003939) |
| 103TC1900X Psychologist, Counseling (Licence: GA PSY003939) | |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2020-01-23 |