NPI | 1730428095 |
---|---|
Former Name | KARLA SCHUPP HATCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 4954) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8408163-3501) |
1041C0700X Social Worker, Clinical (Licence: MI 801085901) | |
Enumeration Date | 2013-02-06 |
Last Update Date | 2022-11-11 |