NPI | 1891099834 |
---|---|
Former Name | ASHLEY MONIQUE WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2006019) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2011-01-05 |
Last Update Date | 2024-01-08 |