| NPI | 1932671633 |
|---|---|
| Former Name | ASHLEY M SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2023-07-26 |