| NPI | 1497002513 |
|---|---|
| Former Name | ASHLEY KAYE STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2016004271) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MD 05107) |
| 103TF0200X Psychologist, Forensic (Licence: MD 05107) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MD 05107) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2019-03-22 |