NPI | 1558561902 |
---|---|
Former Name | ASHLEY NEAL-GILLUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 266863) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2007-07-24 |
Last Update Date | 2023-11-21 |