| NPI | 1770237174 |
|---|---|
| Former Name | ASHLEY CLAIRE YAGHOUBZADEH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010165) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 46.005287) |
| Enumeration Date | 2022-02-05 |
| Last Update Date | 2022-02-05 |