| NPI | 1194367631 |
|---|---|
| Former Name | ASHLEY AMBER THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 1194367631) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61017164) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2022-05-05 |