NPI | 1194243246 |
---|---|
Former Name | KATHERINE MARIE ALEXANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102440) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1801392) |
Enumeration Date | 2017-09-08 |
Last Update Date | 2022-02-11 |