Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1174056535 |
---|---|
Provider Name | Kayla Ashby |
First Address | Bowling Green, KY 42103-7956 |
Second Address | Bowling Green, KY 42103-7956 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2017 |
Last Update Date | 06/05/2020 |