NPI | 1225387723 |
---|---|
Former Name | KATHERINE REISSNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11221) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-08-30 |
Last Update Date | 2020-10-22 |