| NPI | 1891037453 |
|---|---|
| Former Name | ASHLEY EVA WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: ME PS1605) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2020-02-24 |