| NPI | 1114200573 |
|---|---|
| Former Name | ASHLEY LONGWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1450831-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 0900921) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2021-04-05 |