| NPI | 1013542463 |
|---|---|
| Former Name | KATHERINE LYN MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2021-02-23 |