| NPI | 1578999587 |
|---|---|
| Former Name | RENEE NICOLE HOGMIRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009839) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008251) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2018-03-17 |