NPI | 1922415819 |
---|---|
Former Name | ASHLEY DENISE HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C5286) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61365770) |
101Y00000X Counselor | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-07-13 |
Last Update Date | 2023-11-29 |