NPI | 1285973164 |
---|---|
Former Name | KATHRYN HAYDEN BLAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 104990) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 104990) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2013-02-12 |
Last Update Date | 2024-09-16 |