NPI | 1942543574 |
---|---|
Former Name | KATHERINE WEBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.016371) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.013700) |
Enumeration Date | 2013-04-02 |
Last Update Date | 2023-03-10 |