| NPI | 1033401450 |
|---|---|
| Former Name | CATHERINE PATRICIA MALONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60344756) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO60151904) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2013-09-18 |