| NPI | 1649635855 |
|---|---|
| Former Name | ASHLEY SOEHLKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009823) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.008817) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |