NPI | 1669655239 |
---|---|
Former Name | ASHLEY KAY DAVENPORT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 7668) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014701) |
Enumeration Date | 2007-12-06 |
Last Update Date | 2021-08-23 |