NPI | 1477268613 |
---|---|
Other Name | MARY KATHERINE POARCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61631556) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 68301) |
Enumeration Date | 2023-01-23 |
Last Update Date | 2025-04-09 |