| NPI | 1063889996 |
|---|---|
| Former Name | KATHRYN EILEEN KEEFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6776) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 2627-226) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2018-01-15 |