| NPI | 1114309739 |
|---|---|
| Other Name | KATIE DEINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-04-22 |