NPI | 1699192849 |
---|---|
Former Name | ASHLEY SIERRA HAMPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019991) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810006293) |
Enumeration Date | 2014-03-26 |
Last Update Date | 2023-09-22 |