| NPI | 1043702582 |
|---|---|
| Former Name | OLIVIA KATROSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 16142) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC 18-54609) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2023-07-10 |