| NPI | 1548607963 |
|---|---|
| Former Name | KATHERINE MARIE MENGLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7938-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.012494) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2015-08-27 |