| NPI | 1760527352 |
|---|---|
| Former Name | KATHERINE ROSE BETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091408) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801091408) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2013-10-04 |