| 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 |