NPI | 1154195121 |
---|---|
Former Name | ASHLEY HORTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2025036838) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2023015642) |
Enumeration Date | 2023-11-10 |
Last Update Date | 2025-08-28 |