NPI | 1881014819 |
---|---|
Former Name | ASHLEY POLECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC LMFT-1831) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC LMFTA - 9080A) |
Enumeration Date | 2014-04-17 |
Last Update Date | 2018-01-10 |