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 |