NPI | 1932522760 |
---|---|
Former Name | SOPHIA CYNTHIA ASHBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014058) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006602) |
Enumeration Date | 2014-01-30 |
Last Update Date | 2014-01-30 |