| 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 |