| NPI | 1093854127 |
|---|---|
| Former Name | KATHRYN RENEE BAUERLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: 1254) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: 3287) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2022-07-21 |