NPI | 1003352865 |
---|---|
Former Name | VICTORIA KAASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018924) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2016043701) |
Enumeration Date | 2017-01-17 |
Last Update Date | 2019-07-10 |