| NPI | 1679111025 |
|---|---|
| Former Name | ASHLEY JANEE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011529) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2024-01-02 |