NPI | 1811278500 |
---|---|
Former Name | ASHLEY A CHRISTOPHERSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1300026-SUPV) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1000014) |
Enumeration Date | 2011-09-08 |
Last Update Date | 2022-07-25 |