| NPI | 1316125586 |
|---|---|
| Former Name | KATY MARIE HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52778) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2008-02-09 |
| Last Update Date | 2013-05-22 |