NPI | 1235561689 |
---|---|
Former Name | KATHRINE ANNE WALDMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2073) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-08-07 |
Last Update Date | 2021-03-22 |