| NPI | 1972143261 |
|---|---|
| Former Name | AMBER KOHAGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116821) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2024-09-18 |