NPI | 1215500491 |
---|---|
Former Name | ASHLEY NYE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0005905) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2021-07-23 |
Last Update Date | 2024-01-17 |