NPI | 1225401136 |
---|---|
Former Name | KATHRINE BALDNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089-0134131) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S1500947) |
Enumeration Date | 2015-11-02 |
Last Update Date | 2018-10-22 |