| NPI | 1477184935 |
|---|---|
| Former Name | ASHLEY DERRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 9963-M) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: AR 0000) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-09-02 |