| NPI | 1497150965 |
|---|---|
| Former Name | ASHLEY MOISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014333) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401014333) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2018-07-28 |