NPI | 1528623576 |
---|---|
Former Name | ASHLEY POOLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20043809B) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20043809A) |
Enumeration Date | 2019-05-06 |
Last Update Date | 2024-09-16 |