| NPI | 1194152298 |
|---|---|
| Former Name | ASH WICKELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2790) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2509) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2023-02-26 |