NPI | 1306300439 |
---|---|
Former Name | KATHRYN MAY CONDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61069542) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-01-23 |
Last Update Date | 2020-09-14 |