| NPI | 1497591945 |
|---|---|
| Former Name | ASHLEY R BAZIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20043802A) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-10-03 |