NPI | 1669718086 |
---|---|
Former Name | KATHLEEN MOJZAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60843646) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60266353) |
Enumeration Date | 2012-12-13 |
Last Update Date | 2023-06-28 |