| NPI | 1740822048 |
|---|---|
| Former Name | ASHLEY JUSTICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2024-09-05 |