NPI | 1124625819 |
---|---|
Former Name | ASHLEY NICOLE PURUGGANAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 3057) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2020-10-06 |
Last Update Date | 2024-02-15 |