| NPI | 1437487253 |
|---|---|
| Former Name | ASHLEY LATRICE FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011567) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC P004597) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2025-04-04 |