NPI | 1720435175 |
---|---|
Former Name | KATIE MARIE SPITZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: ND LCSW) |
Additional Taxonomies | 104100000X Social Worker (Licence: MN LGSW) |
Enumeration Date | 2016-05-16 |
Last Update Date | 2023-10-09 |