NPI | 1932509494 |
---|---|
Former Name | GRETCHEN ELISE ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: KS 9296) |
Additional Taxonomies | 104100000X Social Worker (Licence: MO 2015011737) |
Enumeration Date | 2014-09-02 |
Last Update Date | 2018-07-16 |