NPI | 1679948749 |
---|---|
Former Name | ASHLEY ZANKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008198) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2015-12-01 |
Last Update Date | 2019-03-29 |