NPI | 1801136304 |
---|---|
Former Name | ASHLEY NICOLE TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC #007628) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2013-02-20 |
Last Update Date | 2017-04-10 |