NPI | 1982105862 |
---|---|
Former Name | ASHLEE BETH MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 3339) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 3339) |
Enumeration Date | 2018-02-26 |
Last Update Date | 2021-12-14 |