NPI | 1184165375 |
---|---|
Former Name | ASHLEY ELWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801107378) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2017-03-20 |
Last Update Date | 2022-11-08 |