NPI | 1316559362 |
---|---|
Former Name | ASHLEIGH KRISTEN VARNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 2159) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3276) |
Enumeration Date | 2020-08-20 |
Last Update Date | 2023-04-28 |