NPI | 1336660935 |
---|---|
Former Name | ASHTON RAYE DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 8481-C) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2017-07-05 |
Last Update Date | 2020-07-17 |