NPI | 1366772766 |
---|---|
Former Name | ASHLEY MOFFETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 4278) |
1041C0700X Social Worker, Clinical (Licence: AR 6752-C) | |
Enumeration Date | 2010-01-06 |
Last Update Date | 2024-05-14 |