Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 444712 | MA |
NPI | 1255690772 |
---|---|
Provider Name | Mrs. Ashley Elizabeth Hutton |
First Address | Bourne, MA 02532-5668 |
Second Address | Bourne, MA 02532-5668 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2012 |
Last Update Date | 04/05/2012 |