NPI | 1114228608 |
---|---|
Former Name | ASHLEY ELIZABETH AHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 8145) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2010-11-15 |
Last Update Date | 2022-10-12 |