| NPI | 1033427836 |
|---|---|
| Former Name | KATHRYN HENNEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4826-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 1427) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2026-07-31 |