NPI | 1386033009 |
---|---|
Former Name | SHAYLA JEAN ASHMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84476) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 84476) |
Enumeration Date | 2015-01-19 |
Last Update Date | 2024-09-23 |