NPI | 1225476583 |
---|---|
Former Name | ASHLEY A PULSKAMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007617A) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2013-06-10 |
Last Update Date | 2017-04-10 |