NPI | 1710085006 |
---|---|
Former Name | R SCOTT RATHJE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14880) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH I0008592) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2017-11-06 |