| NPI | 1255986394 |
|---|---|
| Other Name | KATIE LEE HAGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123087) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101651) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2023-05-09 |