| NPI | 1295247021 |
|---|---|
| Former Name | KATHERINE ELIZABETH DUCKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7615) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2020-09-24 |