NPI | 1225447824 |
---|---|
Former Name | KATHERINE HOUSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0098481) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068-0098481) |
Enumeration Date | 2014-08-07 |
Last Update Date | 2023-09-05 |