| NPI | 1710493432 |
|---|---|
| Former Name | ASHLYN KUBACAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2018000140) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 10724) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2018-06-12 |