| NPI | 1255792743 |
|---|---|
| Former Name | KATRINA M DASENBROCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-40451) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2021-06-10 |