| NPI | 1861835282 |
|---|---|
| Other Name | ASHLEY BRADDY ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C7921) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS M7921) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2022-03-02 |