NPI | 1073542833 |
---|---|
Other Name | KATIE RABOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 119801) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0092361) |
Enumeration Date | 2006-07-02 |
Last Update Date | 2014-06-11 |