NPI | 1225116296 |
---|---|
Former Name | SANDRA KATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.001489) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180001489) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-02-28 |