| NPI | 1073289609 |
|---|---|
| Former Name | KATHERINE SELWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A16840) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178016722) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2023-05-29 |