| NPI | 1457756744 |
|---|---|
| Former Name | COURTNEY M PUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8294-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 128880-121) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2022-03-16 |