NPI | 1134626971 |
---|---|
Former Name | AMY MARIE RAUCH-LABOUNTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NC C012780) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
1041C0700X Social Worker, Clinical (Licence: ND P012110) | |
Enumeration Date | 2018-04-09 |
Last Update Date | 2023-09-20 |