| 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 |