NPI | 1699815118 |
---|---|
Former Name | KATHRYN MARIE KAUTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0890000812) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 367) |
1041C0700X Social Worker, Clinical (Licence: CA LCS7501) | |
Enumeration Date | 2007-02-07 |
Last Update Date | 2016-05-31 |