| NPI | 1194282343 |
|---|---|
| Former Name | KATHERINE HENRIKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022829) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2024-06-17 |