NPI | 1215241930 |
---|---|
Former Name | ASHLEY DALE TUTTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006284) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 120876) |
Enumeration Date | 2010-08-05 |
Last Update Date | 2024-11-13 |