NPI | 1922194679 |
---|---|
Former Name | MARY A. ASHCRAFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.012030) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: IL 149.012030) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2016-06-08 |