| NPI | 1336574722 |
|---|---|
| Former Name | ASHLEY ELIZABETH DICKINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2013010504) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2013010504) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2020-06-04 |