| NPI | 1053633941 |
|---|---|
| Former Name | KATHERINE KIM ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 4972-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 4972-125) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2019-03-12 |