NPI | 1881096782 |
---|---|
Former Name | ASHLEY TILBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700144-SUPV) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1700144) |
101YP2500X Counselor, Professional (Licence: OH C1200408) | |
Enumeration Date | 2014-09-23 |
Last Update Date | 2022-08-25 |