| NPI | 1114214533 |
|---|---|
| Former Name | KATRINA RUSSHETTE HOLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2018-03-17 |