| NPI | 1306565718 |
|---|---|
| Former Name | KATHLEEN MAIN-FREDAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401224581) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6451022459) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2024-12-13 |