NPI | 1770059784 |
---|---|
Former Name | ASHLEY N WHEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022015060) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 9514-C) |
Enumeration Date | 2018-10-17 |
Last Update Date | 2024-03-25 |