NPI | 1104288984 |
---|---|
Former Name | BROOKE ERIN KOTSCHWAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: WA LW00009307) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2016-03-22 |
Last Update Date | 2016-03-22 |