| NPI | 1538517552 |
|---|---|
| Former Name | ASHLEY NICOLE MOULTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121965) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2020-10-29 |