NPI | 1477045854 |
---|---|
Former Name | ASHLEY ANNE MAYHEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P3741) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-06-01 |
Last Update Date | 2021-02-08 |