NPI | 1437590353 |
---|---|
Former Name | ASHLEY ANN NICHOLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401013458) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401013458) |
101YP2500X Counselor, Professional (Licence: MI 6401013458) | |
Enumeration Date | 2013-07-08 |
Last Update Date | 2018-09-06 |