NPI | 1184746406 |
---|---|
Former Name | ASHLEY S MATTHEWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 4061) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C0500087) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2022-07-21 |