| NPI | 1003213737 |
|---|---|
| Former Name | KATHY A NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHPC-00301) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR A4003) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2020-04-02 |