| NPI | 1275751760 |
|---|---|
| Former Name | KATHLEEN KOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 10438) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME MC10656) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2015-04-14 |