| 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 |