NPI | 1275885105 |
---|---|
Former Name | MICHELLE KOHOUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW88338) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW61882) |
Enumeration Date | 2012-10-02 |
Last Update Date | 2021-01-25 |