| NPI | 1306509120 |
|---|---|
| Former Name | KATHRYN BURSICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.026135) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2023-12-10 |