NPI | 1902448665 |
---|---|
Former Name | ASHLEIGH NOELL KLUNK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61389302) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC61043881) |
Enumeration Date | 2019-10-15 |
Last Update Date | 2023-02-02 |