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 |