| NPI | 1174130116 |
|---|---|
| Former Name | HANNAH OUDERKIRK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 11017801) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 11017801) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-11-16 |