Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 1795 | HI |
NPI | 1003142720 |
---|---|
Provider Name | Kate Trachte |
First Address | Honolulu, HI 96818-2853 |
Second Address | Ewa Beach, HI 96706-3602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2009 |
Last Update Date | 30/10/2009 |