| NPI | 1407323975 |
|---|---|
| Former Name | ASHLEY NICOLE TESTERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2023-01-04 |