| NPI | 1205537529 |
|---|---|
| Former Name | KATHERINE MICHELLE CONOLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69606) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904019281) |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2026-02-04 |