NPI | 1174086243 |
---|---|
Former Name | ASHLEY HUSSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180012274) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178012543) |
Enumeration Date | 2019-04-07 |
Last Update Date | 2023-03-22 |