NPI | 1467529537 |
---|---|
Former Name | SUZANNE CAROL ASHTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI 00037) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI 00037) |
163W00000X Registered Nurse (Licence: RI RN11335) | |
Enumeration Date | 2006-11-30 |
Last Update Date | 2008-07-28 |