NPI | 1134850407 |
---|---|
Former Name | KATIE FORESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2022-06-18 |
Last Update Date | 2025-04-29 |