NPI | 1033562434 |
---|---|
Former Name | KATY MARIE SCHMIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9597-123) |
Additional Taxonomies | 104100000X Social Worker (Licence: WI 130288-121) |
Enumeration Date | 2016-07-20 |
Last Update Date | 2023-01-30 |