NPI | 1154604551 |
---|---|
Former Name | SUMMERLIN KATHERINE FLETCHER-NOLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA CG60309355) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60309355) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2013-09-18 |