| NPI | 1114180544 |
|---|---|
| Former Name | ASHLEY ELIZABETH MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 074131) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923546) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2014-10-07 |