| 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 |