NPI | 1124175500 |
---|---|
Professional Name | KATRINA A WATFORD GAMBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC 6574) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2007-07-08 |