| 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 |