| NPI | 1083684070 |
|---|---|
| Former Name | KATHY DODGE BECKWITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC LPC1030) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS28) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2010-10-19 |