| NPI | 1215320544 |
|---|---|
| Former Name | KATHERINE DAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 1032-M) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AR 1597) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2024-04-17 |