NPI | 1558976308 |
---|---|
Former Name | ASHLEY ANN FERGUSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA MG61103784) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC61089702) |
Enumeration Date | 2020-09-09 |
Last Update Date | 2020-09-09 |