NPI | 1053608760 |
---|---|
Former Name | KIM LEANNE PATTERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2385) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 2385) |
Enumeration Date | 2011-07-01 |
Last Update Date | 2024-12-05 |