Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 115469 | MA |
NPI | 1003111691 |
---|---|
Provider Name | Ms. Kathleen Patricia Ochs |
First Address | Nassau, NY 12123-2411 |
Second Address | Great Barrington, MA 01230-1856 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2011 |
Last Update Date | 13/01/2011 |