| NPI | 1215165964 |
|---|---|
| Former Name | KATIE ELAINE FERREIRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MCH00741) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA s49484840) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2020-08-14 |